Ullah Hanif, Arbab Safia, Liu Chang-Qing, Du Qiujing, Khan Sher Alam, Khan Sawar, Dad Omer, Tian Yali, Li Ka
Medicine and Engineering Interdisciplinary Research Laboratory of Nursing & Materials/Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu 610041, Sichuan, China.
Department of Paediatrics, Musharaf Medical Complex Abbottabad, Abbottabad, Pakistan.
J Nurs Manag. 2025 Jul 17;2025:9928649. doi: 10.1155/jonm/9928649. eCollection 2025.
The demanding requirements of nursing education impose great stress on students, which can adversely affect their health and well-being in terms of academic and clinical performance. This study aimed to determine the level of stress and the main causes of stress among medical and nursing students. This cross-sectional study was conducted with medical and nursing students in Pakistan via a convenience sampling method. Sources of stress-associated factors were assessed using online questionnaire. The data were collected between July 1 and August 31, 2024. A total of 302 medical and nursing students participated in the research. Descriptive statistics (frequency, mean) and inferential statistics were used to analyze the collected data. According to the findings, medical and nursing students experience stress from multiple sources, with financial difficulties, academic workload, clinical practice, and environmental factors being the primary contributors. The most common stressors were insufficient income, pressure from clinical instructors and staff, and unfamiliarity with patient diagnoses and treatments. Multifactor logistic regression analysis revealed that stress from assignments and workload was significantly associated with fear of poor grades (=0.046), while clinical practice quality also showed a significant effect (=0.029). Additionally, dealing with patients with physio-psychosocial issues (=0.039) and unfamiliarity with clinical conditions (=0.012) were significant predictors of stress. These findings highlight the complex and multifaceted nature of student stress. This study revealed that medical and nursing students experience significant levels of stress related to finances, clinical practice, and academics, which affects their performance. Educational administrators must establish policies that assist medical and nursing students. Some of these policies could include evaluating the workload of Medical and nursing students, refining curriculum design, providing financial support, and providing scholarships to students facing challenging circumstances.
护理教育的严格要求给学生带来了巨大压力，这可能会在学业和临床成绩方面对他们的健康和幸福产生不利影响。本研究旨在确定医学和护理专业学生的压力水平以及压力的主要原因。这项横断面研究通过便利抽样方法对巴基斯坦的医学和护理专业学生进行。使用在线问卷评估与压力相关因素的来源。数据收集于2024年7月1日至8月31日之间。共有302名医学和护理专业学生参与了该研究。使用描述性统计（频率、均值）和推断性统计来分析收集到的数据。根据研究结果，医学和护理专业学生面临来自多个来源的压力，经济困难、学业工作量、临床实践和环境因素是主要因素。最常见的压力源是收入不足、临床教师和工作人员的压力以及对患者诊断和治疗的不熟悉。多因素逻辑回归分析显示，作业和工作量带来的压力与对成绩不佳的恐惧显著相关（=0.046），而临床实践质量也显示出显著影响（=0.029）。此外，应对有生理心理社会问题的患者（=0.039）和对临床情况不熟悉（=0.012）是压力的重要预测因素。这些发现凸显了学生压力的复杂性和多面性。本研究表明，医学和护理专业学生经历了与财务、临床实践和学业相关的显著压力水平，这影响了他们的表现。教育管理人员必须制定有助于医学和护理专业学生的政策。其中一些政策可以包括评估医学和护理专业学生的工作量、完善课程设计、提供经济支持以及为面临困难情况的学生提供奖学金。
